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Ajay Negi

Ajay Negi

Senior Medical Biller

Talent
HaverfordMember since October 3, 2026
Report preparation and documentationData analysis and interpretationPerformance tracking and metrics analysisMonthly revenue analysisFinancial reportingKPI monitoringTrend analysisVarious Practice Management Software
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Report preparation and documentationData analysis and interpretationPerformance tracking and metrics analysisMonthly revenue analysisFinancial reporting

About

Highly organized and detail-oriented medical biller with more than 5 years of experience. Skilled in optimizing revenue cycle through accurate claim submission and maximizing reimbursements. I work well under pressure, thrive in fast-paced environments, and handle insurance complexities smoothly. Strong communication skills and a collaborative spirit. Looking for a rewarding position to contribute my expertise and support seamless financial management.

Experience

Senior Medical Biller - Green Apple Tech Systems - Noida

(2024-04)

  • Ensure the clinic meets its revenue target.
  • Handle Charge Entry, Payment Posting, Rejections and Denials.
  • Prepare weekly reports for the clinic.
  • Clean up pending accounts receivable each week.
  • Validating insurance information and identifying the active insurance policy ID.

RCM Analyst - XpertDox - Noida

(2023-08 - 2024-04)

  • Worked on ECW.
  • Review the medical records to ensure accurate coding and focus on the E&M specialty.
  • Validating insurance information and identifying the active insurance policy ID.
  • Conducting claim scrubbing to ensure accuracy.
  • Ability to clarify billing queries and resolve issues.

Medical Biller - Pacific an access healthcare - Noida

(2021-09 - 2023-07)

  • Worked on eClinicalWorks and NextGen systems
  • Managed daily operations of the Billing Department, handling tasks like charge entry, and payment posting.
  • Specialized in billing for Dermatology and E&M.
  • Analyzing and posting charges based on PDF and HL7 protocols.
  • Managed average of manual 150 charge entries cases per day.

Accounts Receivable Analyst - R1 RCM - Noida

(2021-01 - 2021-07)

  • Addressing and resolving different denials in the process.
  • Communicate effectively with healthcare insurance representatives to resolve claim issues and gather necessary information.
  • Additionally, transferred insurance claims and billing data to billing software, updated the software with changes, and maintained both paper (EOB) and electronic (ERA) copies of documentation.
  • Obtained and reviewed referrals and authorizations for treatments, confirmed patient benefits and insurance eligibility, and adhered to all state program and HMO/PPO regulations and guidelines.

Education

Bachelor of Arts - mass & communication - Delhi University (2020)

Senior Secondary - CBSE, Delhi (2017)

Higher Secondary - CBSE, Delhi (2015)

Skills

Senior Medical Biller

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